Middle aged female patient with history of repair for Achilles tendon tear now p…

Middle aged female patient with history of repair for Achilles tendon tear now presented with few purulent discharging sinuses near the site of incision. Palpation revealed lumpy / bumpy areas.
Usg shows foreign body reaction to sutures resulting in granulomas with suppuration and sinus tracts formation (notice the tracts leading to the skin). It is nature’s mechanism of extruding the foreign body (suture in this case).



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